Individual provider Active NPI

Brandon Rieders

  • Gastroenterology Physician
  • Valley Stream, NY
National Provider Identifier
1467895607
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
296242-01 Issued in NY
Practice address
210 E Sunrise Hwy Ste 304
Valley Stream, NY 11581-1328
Phone
(516) 825-8484
Fax
(516) 825-8491
NPI assigned
Apr 8, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 296242-01 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X DC

Addresses

Primary practice location

210 E Sunrise Hwy Ste 304
Valley Stream, NY 11581-1328

Mailing address

210 E Sunrise Hwy Ste 304
Valley Stream, NY 11581-1328
Phone (516) 825-8484

Other practice location 1

2150 Pennsylvania Ave NW
Washington, DC 20037-3201
Phone (202) 741-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190619001627 NY Practitioner - Gastroenterology 9436455052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Miami, LM Miller School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastrocare, Li PCGroup PAC ID 0143110726, 3 clinicians

Practice addresses (Care Compare)

210 E Sunrise Hwy
Suite 304
Valley Stream, NY 11581-1328
Phone (516) 825-8484

Hospital & facility affiliations

  • Mercy Medical Center Hospital, Rockville Centre, NY, CCN 330259
  • Long Island Jewish Medical Center Hospital, New Hyde Park, NY, CCN 330195

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy135
Upper gastrointestinal (GI) endoscopy for acid reflux63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
296242-01NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrocare, Li PC Gastroenterology CurrentSince Jul 1, 2019 Accepting new patients
Joel Bruce Fieldman MD P.C. PastSince Jan 1, 2012 Accepting new patients

Locations

210 E Sunrise Hwy
Ste 304
Valley Stream, NY 11581
Phone (516) 825-8484

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CECJBA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1467895607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E SUNRISE HWY STE 304",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811328",
            "telephone_number": "516-825-8484",
            "fax_number": "516-825-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E SUNRISE HWY STE 304",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811328",
            "telephone_number": "516-825-8484",
            "fax_number": "516-825-8491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2150 Pennsylvania Ave NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200373201",
            "country_code": "US",
            "telephone_number": "202-741-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIEDERS",
        "first_name": "BRANDON",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-08",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "296242-01",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "DC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

Verify at the official NPI Registry.